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HomeMy WebLinkAbout23605-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24645 Date JANUARY 10, 1997 THIS CERTIFIES that the building ACCESSORY Location of Property 24190 MAIN ROAD ORIENT, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 18 Block 5 Lot 18.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 19, 1996 pursuant to which Building Permit No. 23605-Z dated JULY 25, 1996 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to GLYNIS M. BERRY & HIDEAKI ARIIZUMI (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL INSPECTION CERT. #14085 - NOVEMBER 6, 1996 PLUMBERS CERTIFICATION DATED N/A Q'� 7w Building Inspector Rev. 1/81 FORK NO. $ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 23605 Z Date ......July.25'................................... 19.96. Permission is hereby granted to; GLYNIS M. BERRY 6 HIDEAKI ARIIZUMI ................................................................................ 11 FOURTH AVE. — APT. 2M . ........................................................................ NEW YORK, N.Y. 10003-4066 ................................................................................ i CONSTRUCT ACCESSORY GARAGE AS APPLIED FOR. fto ............................................................................................................................................................ f ................................................................................................................................................................ F t` 24MD. ENREW YORK at premises located at .............190............AIN.....R............................ORI... T..... ....................................................... i NOTE: THIS REPLACES BP #22188—Z FOR ACCY GARAGE ONLY. ................................................................................................................................................................. County Tax Map No. 1000 Section ......1#............... Block ......5............. Lot No. 18.5 € ........... pursuant to application doted �..19a................................... 19..96.., and approved by the r t j Building Inspector. i { Fee $......, 47.80...... ......... ... .... ... ........ g nspec i Buildin I for r r f Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD DEC 6 BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 17 lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1 . Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy, is, denied,. -the, .Building Inspector shall state. the reasons therefor in writing to the applicant. Fees 1 . Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25 .00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - .25C 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15:00, Commercial $15.00 Date . . . . . . . . .December. .2,.1996. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4ew Construction. X. . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . :,ocation of Property. . . ?;4190. , , , . . . . Main Road Orient . . . . . . . . . . . . . . . . House No. Street Hamlet >nwer or Owners of Property. . .Qlynis_M; Berry,and,Hideaki Ariizumi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ounty Tax Map No 1000, Section. . .018. . . . . . . . .Block. .5. . . . . . . . . . . . .Lot. 185 4ubdivision. Lorrairte.S. Terry (originally Filed Map. . . , n(a . . . . .Lot. n/a _ 'ermit No. . . ?3605 z 7/25/96 . , , ,Applicant. . Glynis M. Berry & Hideaki Ariizumi . . . . . . . .Date Of Permit. . . . . . . . . , , , , , , , , , , , , , , , lealth Dept. Approval. . ,?beady submitted , .Unde.rwriters Approval. „ Electricalinspection#14085 'fanning Board Approval.n/a . request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . X . . . . . 'ee Submitted : Pe o� -z, a�� �ra nP .1'CA \ ELECTR C L INSPECTION SERVICE INC. .. . . 375DUAWNAVENUE ' EAST PAIMOGUE,NEW YORK 11772 _ (Sib)2$G-6642 : 34085 DATE:. 1116195 .. - - APPLICAT`IONNa..ONFILE: : - VILLAGE: ORIENT Towne SOUTHOLD ADLM$E �410oAIAIhrROA t1 ISATO: HIDEAKZARIIZUAH IN2TK3UUCEDAY LADEMANNELECTRICINC LICNa: 4141-E wasexaminedon /J.6-96 nndfmmdto be in compinmewi(3r McNationatElechicatCode � - " LOCATION.• Base..' Ist [" 2nd 3rd_ ArtXc - . .. ....... .: ... ... - DetCrarage yg Hot Tub - ;Poo[ .. SWflL^HES 'RECEPTACLES FE TTIRFS HEATERS FANS GRI. AM GOND. . i FHAOST. . 2 DIMYWASUER DRYER CLOMESWASN. -GAP PINK RANA'E OVjW .StiIOKEDETECTOR . .`.FURNACE OIL 4ASCIR. MOTORS - BELL-TRAM. SERVICEDISCONNECT AtBTSR .dAIDB 'PAA3E . . . 177 11. OTTIF.`R ., 1^30ALlPiIB RAKE£ Gf» SURDI PRESIAF.ATI' BUXLLjXNG PL'RMIT No. lriitarri6cxteunutnntrieaiteedN�xmanntr ... ELUEORIOINAy YELLOW COPY PINK COPY OFFICE _ - studio a/b 111 Fourth Avenue N2M 24190 Main Road/P.O. Box 2020 New York,New York 10003 Orient,New York 11957 tel. &fax 212 677 7898 tel.&fax 516 323 1426 JAN 6 December 30, 1996 Town of Southold Building Dep. Town Hall, 53095 Main Road P.O. Box 1179 Southold, NY 11971 To Whom it may Concern: Please find the enclosed copy of the Underwriters Certificate, which I missed to enclose with the C of O application for the accessory garage of the house in Orient. The building Permit# is: 23605-z Thank you, Hideat i Ariizumi ----- --------- --- ---- Glynis M. Berry JAN - g -:r FFO(,(C � x Town Hall, 53095 Main Road p • ,F Fax (516)765-1823 e9y'�Ypl ! Telephone(516) 765-1802 Southold, NewYork 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD December 16 , 1996 Glynis M. Berry & Hideaki Ariizumi 111 Fourth Ave. Apt. 2M New York, N.Y. 10003-4066 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : An application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. The check is (not on file. ) $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984 ) . BUILDING PERMIT # 23605-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. FIELD INSPECTIONREPORTDATE COMMENTS ii ro O FOUNDATION ( IST) ,f FOUNDATION (2ND) ------------- --I II'I _JI 11 p "- ROUGH FRAME E -� PLUMBING �I O ii it — ------------ E INSULATION PER N. Y. (� STATE ENERGY CODE I II �I -----_-_____________ -- ---------- Ag— FINAL _I ____________ _______dk=====-________________________________________________- p ADDITIONAL COMMENTS: E H p� z FA c� _ _ b r --- , • • •W P7 moloi ISOM �lNJ T!i ! studio alb 111 Fourth Avenue A2M '^•�.� New York, New York 10003 teL &fax:212 677 7898 a lin If JUL � 9 1996 July 15, 1996 TOWEXDG tyOFSO�TOtp Mr. John Boufis Building Inspectors Office Town of Southold Town Hall Southold N.Y. 11971 rMr. Boufis: you very much for your cooperation and help. We wish to renew our building permit for the sory garage located at 24190 Main Road (Rt. 25) in Orient. Enclosed is a check for $47.80 for newal of the permit numbered 221881. The basic structure is now up, but is unfinished. We iate your attention to this. Let us know if yo need anyt mely, Glynis PM. Berry, R.A. -- Tel. 212 677-7898 212 442-7409 516 323 1426 7s9-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ INAL [ ] FIREPLACE A CHIMNE REMARKS: DATE INSPECTO BOARD OF HEALTH . . . FORMN0. 1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . .. . . . . . . I•IHI - [ �d ` 'I TOWN HALL SEPTIC FORII . . . . . . . J SOUTHOLD, N.Y. 11971 1 ObyN TEL.: 766-1802 t:oTIF-Y ; CALL camined " MAIL TO els. . ., . . P . . . . . . . . . . . . . . . . . . . . Proved Permit No. . . .f. . . . . . . . . sapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . 03 V�� . . . . . . _ . . . . . . . . . . . . . . > .� . C uidid.-Inspector) APPLICATION FOR BUILDING PERMIT April 30, 1994 Date . . . . . . . . . . . . . . . . . .119 . . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets seas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- on. c. The work covered by this application may not be commenced before issuance of Building Permit. J. Upon approval of this application, the Building Inspector will issued a Building Pennit to the applicant. Such permit I be'kept on the premises available for inspection throughout the work. No building sliall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the ling Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ilations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to it authorized inspectors on premises and in building for necessary inspections. . . . . . . . (Signature of applicant, or name, if a corporation) 111 Fourth Ave . #2M, New York, NY 10003 . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . I . . . . . . . (Mailing address of applicant) whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Iwner and architect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e of owner of premises Glynis M. Berry and Hideaki Ariizumi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) plicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No.Archit eet 023787 (Ariizumi, NY) , Architect 021848 (Berry, NY) ocation of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44yeo Main Street Orient mber ouse Nu Street Handlet aunty "fax Map No. 1000 Section 018 5 18 5 Block . . . . . . . . ./. . . . . . . . Lot . . . . ./. Loraine S Terry • • • • • • • • • • • ( origi.nally) n a n a ibdivision . . . . . . . . . . . . . . . .(N. .ame) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. Lot . . . . . . . . . . . . . . . ate existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy vacant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . Intended use and occupancy . S,L�M dwelling w; th arrh +ect's office . . 3. Nature of work (check which'' applicable): New Building R �' 1t . . • • • • • . . Addition . . . . . . . . . . Alteration . . . . . . . . . . P moval . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . $1.70, 000 (Description) 4. Estin`?ated Cost . . . . . . . . . . Fee . . 2 ,, 05 : . . . . . . . . If garage, number of cars ng n s id on flt' application) tg units . . . . . . . . . . . . . . . Number of dwelling units o tt 1 5. If dwelling, number of dwelh� g �t , ��µ,,: :, 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ArcHite'e'-$'t' 'o'ff1 . . . . . . 7. Dimensions of existing structures,if any: Front . n .a. . . , . . . . . . Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . .. . .. .. . . . . Height Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions; Front . Rear . . . . . . . . . . . . . . . . . . 8. Depth .o e r new co . . , . • • • Depth . . . . . . . . . . . . . . . . . : . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . ul�F Nstraction; Front 2 �g21ar, , , , Rearsee drawings Depth • . . . . , , Height amber of Stories . . , . ./. . . . . . . . . . . . . . . . . . . 9. . . . . . . 10. Date of Purchase ,l.75 6,, . . . . . • ' ' • • ' • • • Rear . .. , see plot p. an De t)t : 8-5-5:1)" " " • "Lorraine S . 'Te'r'ry 11. Zone or use district in which 19g2 • ate " ' • Name of Former Owner . . . . . . . . . . . . . . . . 1 . . . . • „ • , , , • Size of lot: Front . . , . . , remises are situated R-80 12. Does proposed construction violate any zoning law, ordinance or regulation: ??Q . . . . . . . 13. Will lot be regraded , hi&her by 'house yyi x e . emoved from premises: Yes 14. Name of Owner Architect psremises i ynis; �erry: :�C'H'i Af��_g44S si 21,2 6�7-7£398 owner 1:11' �,[Rh 'AVe• • 2 • • w• y.TpRne No. dress . . . . . .� •100U Phone No. . . . . . . . . . . . . . . . 15. Is th�slfropert ouithi ',,. 300 f et of a tidal Address . . . . . *Yes. . . . . . . . . PhoneNo. . . . . . . . . . . . . . . . Name of Contractor . . . . . . . P [ y P 300 feet of a tida.i wetland? eyes, , , , , , , , No. . . . . . . . , yes, Southold Town Trustees Permit may be'required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and blobk number or description according to deed, and show street names and indicate whether interior or corner lot. See Attached ) II STATE OF NEW YO K, S.S COUNTY OF . . . . , Glynis Berry o&md aivalsigning I Ariizumi . . . . . . . . . . . y . . . being duly sworn, deposes and says that !te is the applicant contract) above named. Ile is the . . . . , ,architect angi owners . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . I . , . . . . . . . . �i (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this . . . . . . . .day f. . . . . . ! I �E . . . . . 19 Notary Public, Z' County EN NOTARY P MY R.TRATTNER t , N /9 R PUBLIC, State of Maw York . . . . . . . �Cf<`;(Nt�6' . �`. , .r:. . . . . . . . . . . . . Nq. in Nassau Co 6 knature of applicant);;r Quali(ed in Nassau County c,✓' . COMMIS 1e,. Expires Ootabor 31, 19 /j SUFFOLK CO. HEALI H Uttt-T At-Fft,, H- S. NO. ON Eii STATEMENT OF INTENT Z, i THE WATER SUPPLY AND SEWAGE DISPOSAL i SYSTEMS FOR THIS RES IDENCE WILL rA JoAT CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. 01 (Sl 4 C�- 330Q-T - L D APPLICANT SUFFOLK COUNTY DEPT, OF HEALTH 1, SERVICES - FOR APPROVAL FOR-i CONSTRUCTION ONLY \ �S }St DATE: H. S. REF- NO.: APPROVED: 7SUFFOLK CO. TAX MAP DESIGNATION: kA DIST- SECT. BLOCK P t OWNERS ADDRESS: 212-S77-?898,cle-E 2�2 55L-r5:+39Q5; DEED: L.NthN,. P- 5r SIL 04"S TEST HOLE STAMP I roo, \ L , : - 1 Y,{G.Ce'�l°",+. Ee 5 'Ac Z A-7 Aue ILI SEAL > RODERICK VAN TUYL PC V LICENSED LAND SURVEYORS GREENPORT NEW YORK - SUF-F[GLK Co. FEEA6'Yht DE-f�T. MAIN APPRCSYAL H,9. h4. R10 94 .0021 h174 3250E- 605;16 Ta V cu o, A° _ , o E I lLX.k om OP puwc i '� gt A s m t i 1 i C3 m 1 LL 3$ Ta4gT:MAN,4" t ! O L}a 6 -� v r U4 a 2 t ? o O i w S3t8#3tvi�s{p�j - k ¢TEE �v 2 o fi3 + 3�4 MfA S 3 S. I�+KT ' r - i - t t. c z i a y � t a ooh i CD of Q' M VATr . 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IE i SUFFO LK-C .14 C—r L&f DIST: PLE 'SP NlnTP we'l k i �_ ­ U. 01u. rY,,<tYstem is not to-be WELL Lfx OWNERS ADO.R. 4�placed =derdriveway Lu co -,TA�� j- N TEST LE- f!c0li , VXAVATI N 'I MAY TLDG_�DEFT t�T NGT I gf 11 P-E A' 177� Nr r 12' 47 84Z > RODER-ICK VAN TUYL. P.0 "ZI v FA-117-MING FRELo L LICENSED LANA SURVEYORS 1 . GREENPORT NEW YORK IX4 CGA IX4 CCA 1144- CG4 POLYCARBCNATS CORK, ALUM. j�OLYCA eogATE E�TTEN TTEIN FLATTEN STRLICUREID 51iEEi ON SfRUCTuRED � ~ � BARD SHEET RA TTHII SI-LEFT, f�/ 6 ♦ __ ( PL Wove SIDING 1^1/1 I i I P{ 61 16 -__ _�Z_- -_ - _- - _ AL.LI M 'J" BEAD TMS /> I -bLY- - - / SFALANT EL, WI 13E'AM$ A4oVE JY2` x 4^ J ( I I CATtFJ,N4TE _...._.. 15'-h^ CL,PJ IC -o„ 24" o-C - - - - - - - ALUM .,,J�� BEAD I, STRucTUReD CH-P.7 - - - - - `'`L"x �2" x4'. SHEET. I EA CCA SLOPE I CoRRuGATED ALUM. 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FouNp4T7on ONLY �S' Anil?G1 °c' HOUSE IN ORIENT " ORIENT SOUTHOLD, NEW YORK --� studio a/b GAPAGE 1DETAiLA12 ' ,9T 02-1n' r/ 111 Fou,, ,M1 M.e. .2M ��F NtY, New York, New York 10003 ..AS t", tel 61.x.212 677 7898 ..Tom'-+